Sports And Spine INC
Chiropractor in Fort Myers, FL. Organization (NPI-2).
NPI number1952777054
StatusActive
Last updated in NPPESOct 19, 2015
Details
- NPI
- 1952777054
- Entity type
- Organization (NPI-2)
- Legal business name
- Sports And Spine INC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2015
- Last updated
- Oct 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH11615 | FL | Yes |
Practice location
4975 Royal Gulf CirFort Myers, FL 33966-7006
Phone 239-691-5100
Mailing address
4975 Royal Gulf CirFort Myers, FL 33966-7006
Phone 239-935-7876 · Fax 239-935-7855
Authorized official
Cole Ramsey Streets
Chiropractic Physician/Owner
2396915100
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